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Facts About Ingrown Toenail Surgery

Ingrown toenail surgery is a procedure used to treat a toenail that grows into the surrounding skin, usually along the nail edge of the big toe. This condition can cause pain when walking or wearing shoes. Other symptoms include redness and swelling around the nail. In more advanced cases, drainage or infection may develop. Risk factors include trimming nails too short, wearing tight footwear, and injuring the toe. Although mild cases may improve with conservative care, persistent or infected ingrown toenails may require surgery to relieve pressure and prevent recurring problems.

A podiatrist usually begins by examining the toe and checking for signs of infection. If surgery is necessary, the toe is numbed with a local anesthetic to keep the procedure comfortable. One option is a wedge resection, in which the podiatrist removes the narrow section of nail growing into the skin. Partial toenail removal preserves most of the nail while relieving pressure. In more severe cases, complete toenail removal may be recommended, although it is not always necessary. The choice depends on the nail condition and whether the problem keeps returning.

 

For recurring ingrown toenails, a podiatrist may perform a matrixectomy. This procedure treats part of the nail matrix, the tissue responsible for nail growth, to help prevent the affected edge from growing back. Chemical treatment or another method may be used. Tip-of-toe surgery is less common and may be considered for selected severe cases involving persistent tissue problems. After treatment, the podiatrist applies a dressing and explains how to clean and protect the toe. Healing recommendations include limiting pressure and attending follow-up visits.

 

Most patients return to normal activities gradually as tenderness improves. Keeping the toe clean and wearing roomy shoes can support recovery. If you have an ingrown toenail that causes ongoing pain or signs of infection, it is suggested that you consult a podiatrist who may discuss the benefits of this type of surgery with you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Michael T. Hames of Florence Foot Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Surgery

Causes and Symptoms of Plantar Fasciitis

Plantar fasciitis develops when the wide band of tissue that runs along the bottom of the foot is irritated. This ligament, called the plantar fascia, supports the arch. Repeated strain can create tiny tears where it  connects to the heel bone. The main symptom is sharp pain under the heel. Pain is usually strongest with the first steps after getting out of bed or standing after a long rest. It may ease as the foot begins moving, then return after extended activity. Some patients change the way they walk to avoid pressure on the sore heel.

Several factors can increase strain on the plantar fascia. A sudden increase in running, jumping, or stair climbing can overload the tissue. Excess body weight and pregnancy can also place greater pressure on the feet. Tight calf muscles, high arches, or flat feet may affect how force moves through the heel. Wearing shoes that lack proper support or cushioning can add to the problem. However, plantar fasciitis sometimes develops without a clear cause. Heel pain can also result from a stress fracture or nerve problem, so an accurate diagnosis is important.

A podiatrist can examine the foot, discuss when the pain occurs, and evaluate the patient's walking pattern. X-rays or other imaging tests can help rule out a fracture. Treatment includes activity changes and guidance on safe stretching. A podiatrist may recommend supportive shoes, custom orthotics, or taping to reduce pressure on the plantar fascia. A night splint can hold the foot in a gentle stretch while the patient sleeps. Persistent cases may benefit from other office-based treatments. Surgery is rarely required and is considered only when other care has not brought relief. Early evaluation can reduce pain and help prevent stress on the opposite foot, ankles, or knees. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis

Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

Poor Circulation and Raynaud’s Phenomenon

Raynaud's phenomenon is a condition in which small blood vessels temporarily narrow in response to cold temperatures or emotional stress. This reduces blood flow to certain areas, most often the fingers and toes. During an episode, toes may feel cold or numb, and can change color. Skin may appear pale or white before becoming blue, then red, as blood flow returns. Tingling, throbbing, or burning can occur. Episodes may last several minutes, or longer.

Raynaud's phenomenon can occur on its own or alongside another medical condition. Primary Raynaud's is more common and occurs without another known disease. Secondary Raynaud's can be linked with conditions that affect blood vessels or connective tissue. Risk factors include family history, repeated cold exposure, and smoking. Certain medications can also affect circulation. Frequent or severe episodes deserve medical attention because they can sometimes affect skin health. Reduced blood flow may contribute to sores or slow healing.

When cold toes are a concern, a podiatrist can examine the feet and lower extremities for related circulation changes. The evaluation may include checking pulses, skin color, and sensation. Skin and nails are examined. If the findings suggest a broader circulation problem, referral for additional vascular evaluation may be appropriate. Treatment focuses on protecting the extremities from cold, keeping the skin healthy, and addressing the underlying cause when one is identified.

Simple daily habits may help reduce episodes. Staying warm before going outdoors can be helpful. Avoiding smoking and managing known health conditions may also support healthy circulation. If sores, persistent color changes, or significant pain develop, prompt evaluation is important. If you have cold feet or toes, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. Michael T. Hames of Florence Foot Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet

Treating Recurring Foot Corns

Corns on the feet are small areas of hard, thickened skin that develop in response to repeated pressure or rubbing. They are different from calluses, which usually cover a larger area of rough, thick skin. Corns frequently form on the toes or other parts of the foot exposed to concentrated pressure. They can feel tender or painful, especially when shoes press against them. Some corns remain painless, but discomfort can increase when the hardened area continues to receive pressure. Pain from a corn can eventually interfere with walking and normal daily activities.

Shoes that are too tight, too loose, or the wrong size can contribute to corn formation. High heels can also increase pressure on certain areas of the foot. Foot structure can play a role because bone problems may create areas that rub against shoes. As people age, the natural fat padding on the bottom of the feet can decrease. This can leave some areas exposed to greater pressure. Corns that bleed or produce pus or discharge require attention. Severe pain that limits normal activities is another reason to have the foot evaluated.

A podiatrist can examine the hardened skin to confirm that it is a corn and identify the pressure causing it. Treatment can include carefully removing thickened skin and using specialized pads to reduce pressure on the painful area. A podiatrist can also provide custom insoles when foot mechanics contribute to repeated friction. Patients with diabetes or circulation problems should have corns evaluated because foot problems can become more serious. Addressing shoe fit and pressure points can also help reduce the chance that corns will return. If you have symptoms of corns on the feet, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

If you have any concerns regarding your feet and ankles, contact Dr. Michael T. Hames of Florence Foot Center. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Corns and Calluses

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